Document Detail

Absence of posterior tricuspid valve leaflet and valve reconstruction.
MedLine Citation:
PMID:  22419794     Owner:  NLM     Status:  MEDLINE    
We report a rare case of the absence of a posterior tricuspid valve leaflet. A male patient, aged 46, suffering from severe tricuspid valve regurgitation (TR) of unknown aetiology and atrial septal aneurysm was referred to our hospital for surgery. On surgical inspection, the posterior tricuspid valve leaflet and its subvalvular apparatus were completely absent and only the valve annulus was seen in the corresponding position. The anterior and septal leaflets were normal. We successfully reconstructed the tricuspid valve as follows: the head of an anterior papillary muscle was approximated to the ventricular septum (Sebening stitch). After the approximation of the centre of the tricuspid annulus of the anterior leaflet to the tricuspid annulus on the opposite side, a sizer of 29 mm in diameter was easily passed through the anterior orifice. The posterior orifice was closed with running sutures (posterior annulorrhaphy after Hetzer). Before these procedures, we attempted to reconstruct the tricuspid valve with a posterior annulorrhaphy alone; however, valve competence was insufficient. A Sebening stitch was necessary to improve the valve competence. Echocardiography showed TR grade 1 at the patient's discharge from hospital and TR grade 1 to 2 at the follow-up, 10 months after the operation.
Takeshi Komoda; Christof Stamm; Eckart Fleck; Roland Hetzer
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Publication Detail:
Type:  Case Reports; Journal Article; Video-Audio Media     Date:  2012-03-14
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-16     Completed Date:  2012-09-07     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  883-5     Citation Subset:  IM    
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin (German Heart Institute Berlin), Berlin, Germany.
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MeSH Terms
Cardiac Surgical Procedures*
Heart Aneurysm / complications,  surgery
Heart Defects, Congenital / complications,  diagnosis,  surgery*
Middle Aged
Suture Techniques
Treatment Outcome
Tricuspid Valve / abnormalities,  surgery*,  ultrasonography
Tricuspid Valve Insufficiency / diagnosis,  etiology,  surgery*
Comment In:
Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):885   [PMID:  22589354 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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